Organization
NEUROTECH NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE MORGAN (CHIEF OPERATING OFFICER)
(262) 754-0898
Entity
Organization
Contact information
Practice address
1402 140TH PL NE STE 105, BELLEVUE, WA 98007-3943
(206) 299-0375
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 754-0898
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
07/21/2022
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